Whalio Doctors

NPI 1013038256

Stephen J Chanock, MD

Practitioner Pediatrics Physician Potomac, MD

Practice location

Address
11011 Glen Rd, Potomac, MD 20854-1439
Phone
(301) 299-3075

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 56661 (MA)

Registry record

NPI
1013038256
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Apr 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.